Other maternal disorders predominantly related to pregnancy

Historical Changes

• •FY 2025: Routine maintenance updates with minor terminology clarifications
• •FY 2024: Enhanced specificity requirements for certain code ranges
• •FY 2023: Updated documentation guidelines for improved clarity

Upcoming Changes

• •Proposed updates pending review by Coordination and Maintenance Committee
• •Under consideration: Enhanced digital health integration codes

Implementation Guidance

• •Review all FY 2026 updates for O20-O29 codes before implementation
• •Always verify the most current codes in the ICD-10-CM manual
• •Ensure clinical documentation supports the selected diagnosis codes
• +3 more guidance items...

Key Usage Points:

• •Use these codes for conditions arising during pregnancy that are not linked to the fetus or amniotic sac.
• •The codes can be used throughout pregnancy and the puerperium.
• •Note the trimester in the code, if applicable.
• •Use additional codes for any associated maternal complications.
• •Remember to code first any associated complication of pregnancy, if applicable.

When to Use:

• ✓When a pregnant patient presents with hypertensive disorders.
• ✓When a patient develops gestational diabetes.
• ✓When a patient experiences excessive vomiting during pregnancy.
• ✓When a patient has early onset of delivery.

When NOT to Use:

• ✗When the condition is not related to the pregnancy.
• ✗When the condition is related to the fetus or amniotic sac.
• ✗When the condition arises after the puerperium.
• ✗When the condition is a pre-existing maternal condition.

Common Documentation Errors:

• ⚠Not specifying the trimester.
• ⚠Not linking the condition to the pregnancy.
• ⚠Not documenting associated complications.